Booking Form

Time Slots (please note that this is not yet a confirmed date, but a preference date)*:

First Name*:

Last Name*:

Phone number*:

E-mail address*:

Full address (we are an officially registred company, the address is required to issue an invoice)*:

Please indicate the session type:*:

Please indicate the preferred giver:*:

Our sessions are deeply healing with a holistic / therapeutic approach. We only welcome in our space individuals with a purposeful healing intention. Just as we go to the therapist and share what is bothering and is uncomfortable, same here please provide some personal insight and information, which can help us identify how and if we can support you in your journey. Please note that an incomplete form results in a rejected request.*:

Please indicate your intention / motivation for the session. Intention is a key part of our sessions. A personal intention with the longing to change or transform is already starting a process of transformation and therefore is mandatory. What are you ready to let go or change?*:

Please introduce some information about yourself, about your spiritual / individual journey. What experience do you have in breathwork, bodywork, dearmouring, meditation, alternative therapeutic sessions and other healing modalities?*:

What are the expectations as regards the session?*:

It is mandatory to read our FAQ section before booking. Have you read the guidelines and do you agree with them?*:

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